Essay Linguistic Communication Barriers

A healthcare disparity is a limitation of healthcare availability, usually among a certain racial or socioeconomic demographic (Black, 2013). However, there are disparities that don’t have a specific demographic and affect the entirety of the United States, which are potentially most detrimental to the overall health of our country. One of those disparities is health literacy, or the exchange of complex information from the healthcare provider to the patient or client (Black, 2013). The lack of health literacy in America poses as a problem, especially with the chronically ill. Without proper knowledge of how to treat their illness and what to do when the disease process worsens or ameliorates can potentially cause millions of unnecessary hospitalizations,

With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).

Non-English speaking citizens and immigrants are receiving improper medical care because of the miscommunication. The people who cannot speak English well are misunderstood, when they go to free clinics or hospital emergency rooms and attempt to explain their symptoms and illness or cannot understand the doctors or medical profession that are trying to help them. ” Interpreters are omitting questions about drug allergies. Patients are not telling nurses the correct symptoms. A mother misunderstood by putting oral antibiotic into the ears of the child instead of the mouth. The Puerto Rican word for mumps is not the same in Central America, so a child was mistreated. A doctor mistakenly told a parent to put a steroid crème on entire child instead of just the face” (Yolanda Prtida, 2005). Language barriers in the medical field are dangerous and some times even fatal. There is definitely a need for more translators in hospitals and doctors office. Clear communication is essential for safe quality healthcare. Poor communication can lead to disastrous outcomes, especially for patients with limited or no English ability.

In 2004 my grandmother and I moved from Haiti to United States without a speck of English in our language. After few years living in the states, my grandma started to get ill and she had to seek monthly medical assistance. At the time, my mother was working multiple jobs and I was a full time undergrad student that lived on college campus. Our busy schedule posed a challenge for us to bring grandma to her medical appointments. Most times it was hard for us to find someone to go with her and assist her with language translation. When it was time for her to go by herself, the health providers would have trouble finding a professional translator on the spot to assist my grandma. This became a repetitive problem and my grandma’s case was not getting any better. If she had the ability to communicate with her provider using her own language, she would have been able to be more expressive about her symptoms and the doctors would have assisted her to her needs. Just like my grandma, many people that speaks little to no English, are having trouble interpreting their medical diagnosis and communicating with their healthcare providers.

Limited access to health care for Spanish Speaking populations is due to inability to afford services, difficulty with transportation, dissatisfaction with services, language barriers and inability to understand treatment plans. Health indicators of Spanish Speaking populations suggests that health outcomes continue to be behind other population groups, they also remain below goals established by Healthy People 2010 (Butler, Kim-Godwwin, & Fox, 2008). The US Spanish Speaking population represents a particular vulnerable subset of US Hispanics that have lower-income, less education, poor perceived health status and poor access to the health care System (Dubar & Gizlice, 2008).

Financial barriers to access health care are common in a low-income family when they are uninsured or underinsured. Many uninsured and undocumented immigrant received federal and state health care coverage. Latinos and African American are the ethnicities that are disproportionally get affected. Limited access to a doctor when they are sick, taking non-prescribed medication and holding off recommended treatment is only some of the problems they encountered (Carrillo et al., 2011).

Can you imagine the how the healthcare industry would be without language, what seems to be impossible to imagine is the everyday reality of some patients because of their native language. Language is a major contribution to the health disparities that some populations face, because it makes it difficult for some patients to communicate their problems as well as understand the care they provided. Language contributes to the health disparities that some populations face because it creates a barrier between the patient and the care provider, making it difficult for a patient to receive proper care. Language barriers create a communication gap between a patient and a provider, forcing the patient to feel misunderstood and unable to trust his/her provider to properly care for them. I come from a family that speaks more than one language, so I have seen the impact language barriers can have on someone who doesn’t speak fluent English.

In a perfect world, race, ethnicity and culture would have no negative effect on the medical care we receive, yet problems do arise and it affects the quality of care the patient receives. Language barrier, poor socioeconomic status, and poor health literacy also contribute to health care disparity. For Lia, it was more than her skin color, it was all of the above, her parents did not speak English and they were illiterate. They had trouble understanding the American healthcare system, had trouble or little interest in adjusting to or understanding the American culture. They didn’t work, which in addition to cross cultural misunderstanding, helped contribute to animosity between the Hmong and the host community, because some in the Merced area did not like or appreciate the fact that some Hmong did not work and relied on welfare to make ends meet. All these factors, contributed to the poor quality of

Immigrants are faced with a lot of barriers when it comes to taking full advantage of basic preventive care services available to them. Of the diverse population of immigrants coming to the United States, over half (53%) of them are older Hispanics from Latin America (Strunk, Townsend-Rocchiccioli, & Sanford, 2013). This paper focuses on US-dwelling Hispanics, aged 65 years old and above. This paper will depict how failing to acculturate, lacking financial resources, and having limited ability to communicate in English pose a challenge for the older Hispanic population to obtain high quality and cost-effective patient care.

For many Latinos, they like a more to feel a more personal, welcoming doctor-patient relationship, they want to feel that the provider truly concerned for them as a whole. Since we all know how health care professionals are often rushing can makes the American healthcare system,look untrustworthy, in which doctors often rush visits and lack time to establish relationships with patients. Latino apprehension about healthcare goes deeper than issues of access. It also partially derives from a long history of preferring non-Western medicine, a cultural uneasiness with the American style of healthcare, and a tradition of privacy and individual pride that makes many Latinos believe we have no need to ask for help, and they don’t believe in being

In response to reading this book, I will be utilizing more the services of professional interpreters during the physical therapy session with the patient rather than using ad hoc interpreters such as family, friends, hospital clerks and housekeepers. Professional interpreters improve the quality of clinical care for LEPs to level that for those patients without barriers in language (Gray & Hardt, 2017). Meanwhile, ad hoc interpreters might be bilingual but they have no medical training (Gray & Hardt, 2017).

In response to Sabrina Geneus I am in agreement with her comments regarding one subpopulation in the U.S which has currently has access to primary care are Hispanics. She also made interesting points regarding them which are true that Hispanics do not receive health care services of high quality because of their low socioeconomic status which includes low income, assets accumulation, low wage occupations and occupational characteristic. In addition, they also endure education attainment which is an obstacle to receive health care in a timely manner. Individuals who are face with low education may ruin their ability to understand clearly the health care delivery system, such as communicate with health care providers, and understand provider’s

The members of the largest ethnic group being granted legal permanent residence in the United States are from Mexico. According the 2010 census 16.3% of the population of the United States is Latino (Spector, 2013). The Latino population will increase to 30 % of the total population by the year 2050 based on current projections (Juckett, 2013). There are several barriers to health care faced by many in the Latino population. They include: language barriers, lack of health insurance, mistrust, not have a legal status and a different culture of health care (Juckett, 2013, p. 48). Juckett also points out that most medications that require a prescription in the US are obtained without prescriptions in immigrants’ home countries (2013).

If I am accepted into the University of Texas at El Paso Doctor of Physical Therapy Program, I plan to use my past experience and training from the program to oblige under privileged areas and communities. Moreover, I began to prepare for the mission of providing culturally skillful and dialectal experienced care through my experience shadowing and volunteering under Sandra Terrazas, where I have been in contact with patients of different ethnic backgrounds. By sitting in on patient evaluations and therapy sessions of primarily Spanish speaking patients, I am taking steps to learn Spanish in order to better serve the patients in my community and beyond. Likewise, I have been volunteering at a clinic where I can observe different diagnoses and populations such as geriatric patients, breast cancer survivor therapy, incontinence patients and sports injuries.

Effective communication is important in providing safe health care. Miscommunication can lead to many errors, which can inadvertently affect compliance, accurate diagnosis, and health promotion. There are a variety of translation services offered in the United States; however,